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Circulation Research. 1995;77:1001-1007

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(Circulation Research. 1995;77:1001.)
© 1995 American Heart Association, Inc.


Articles

Upregulation of Cardiac Angiotensin II AT1 Receptors in Congenital Cardiomyopathic Hamsters

Chantal Lambert, Yolette Massillon, Sylvain Meloche

From the Department of Pharmacology (C.L., Y.M., S.M.), Faculty of Medicine, Université de Montréal (Canada), and Centre de Recherche (S.M.), Hôtel-Dieu de Montréal (Canada).

Correspondence to Chantal Lambert, BPharm., PhD, CP 6128, Succursale Centre-Ville, Montréal, H3C 3J7, Canada.


*    Abstract
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*Abstract
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Abstract Angiotensin II (Ang II) is a growth factor that stimulates protein synthesis and induces cellular hypertrophy in cardiac myocytes. To gain insight into the role of Ang II in cardiac hypertrophy, we examined the expression and subtype distribution of Ang II receptors in the ventricles of embryonic and of 25- to 350-day-old inbred control and cardiomyopathic (CHF 146) hamsters. Studies were also performed with heterozygous (cardiomyopathicxcontrol) animals. Compared with the control hamsters, cardiomyopathic hamsters presented decreased body weights and increased ratios of ventricular weight to body weight in every adult group studied. Typical histological lesions appeared in the left ventricle of cardiomyopathic animals around 70 to 75 days, and their severity increased with time. Radioligand binding studies with cardiac ventricular membranes indicated that iodinated [Sar1,Ile8]Ang II (sarile) binds to a homogeneous population of sites in membranes derived from adult normal and cardiomyopathic animals. Competition curves using specific receptor subtype antagonists revealed that 125I-sarile binding sites were exclusively of the AT1 subtype in both groups of animals. Importantly, the density of AT1 receptors was found to be significantly increased (90% augmentation at 70 to 75 days) in the ventricles of cardiomyopathic hamsters. This augmented expression was observed in all adult groups and was already present at 25 days, when no histological lesions were visible. The affinity of the receptor for losartan did not vary significantly between adult normal and cardiomyopathic animals (mean Kd, 19.6 and 16.7 nmol/L, respectively). No significant differences were observed in the total expression of Ang II receptors and in the proportion of AT1 and AT2 subtypes between the two groups of embryonic hearts. Heterozygous animals expressed an intermediate level of AT1 receptor binding activity in their ventricles. Together, these results suggest that Ang II acting through the AT1 receptor may play a critical role in the development and/or maintenance of cardiac hypertrophy.


Key Words: cardiomyopathic hamsters • angiotensin receptors • losartan • hypertrophy • heart


*    Introduction
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up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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The renin-angiotensin system plays a major role in the regulation of normal cardiac function and in the pathophysiology of a number of disease states. The direct actions of angiotensin II (Ang II) on the heart include effects on contractility, heart rate, arrhythmogenesis, and myocardial function.1 2 3 Besides these acute hemodynamic effects, accumulating evidence indicates that Ang II also exerts long-term effects on cardiac muscle growth and likely contributes to the development of cardiac hypertrophy.1 4 In vivo studies have shown that the chronic infusion of Ang II to adult rats increases left ventricular mass even in the absence of pressor activity.5 6 In newborn pigs, the administration of either the angiotensin-converting enzyme inhibitor enalapril or the AT1-selective antagonist losartan interfered with the rapid growth of neonatal hearts.7 Furthermore, treatment with angiotensin-converting enzyme inhibitors was shown to prevent or reverse myocardial hypertrophy in rat models of pressure-overload hypertrophy8 9 and in spontaneously hypertensive rats.10 11 Similar findings were reported in hypertensive patients.12 13 Consistent with the notion that it acts as a growth factor for the myocardium, Ang II was clearly shown to increase protein synthesis and to induce cellular hypertrophy in cultured cardiomyocytes.14 15 16

The growth-promoting action of Ang II might be mediated by circulating or locally produced hormone. As in several other organs and tissues, the heart also appears to possess its own local renin-angiotensin system, which may function in an autocrine or paracrine manner.1 2 17 Thus, all of the components required for local production of Ang II, angiotensinogen,18 19 renin,19 20 and angiotensin-converting enzyme21 have been identified in the heart. Moreover, the presence of Ang II immunoreactivity has been detected in cultured rat cardiac myocytes and fibroblasts and in the culture medium of stretch-stimulated cells.22 23

Ang II exerts its physiological actions by interacting with two pharmacologically distinct subtypes of receptors, identified as AT1 and AT2.24 Pharmacological studies have revealed that the AT1 subtype is responsible for the all known biological actions of the hormone, including the growth-promoting effects.24 25 In cardiac tissues, Ang II receptors have been localized to the myocardium, coronary vessels, sympathetic nerves, and conduction system.1 2 With the development of selective receptor antagonists, it has been possible to examine the distribution pattern of Ang II receptor subtypes in the heart by using radioligand binding assays or in situ autoradiography. The AT1 and AT2 subtypes were found to be expressed in nearly equal ratios in rat26 27 and rabbit28 hearts, whereas monkey29 and bovine30 tissues contain twice as many AT1 receptors. The human ventricular myocardium predominantly expresses the AT2 receptor subtype.30 Interestingly, recent studies have demonstrated that cardiac AT1 receptor expression is increased in rat models of cardiac hypertrophy27 31 and after myocardial infarction.32 33

The aim of the present study was to evaluate the relation between the development of cardiac hypertrophy and the expression of Ang II receptors by use of cardiomyopathic Syrian hamsters. These animals develop a hereditary progressive cardiomyopathy resembling the hypertrophic cardiomyopathy observed in humans.34 It is characterized by spontaneous focal necrotic lesions detected in the heart after the first months of life that are followed by cardiac hypertrophy during late months and ultimate death as a consequence of heart failure.35 36 37


*    Materials and Methods
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up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Materials
Losartan (DuP 753) was kindly supplied by Dr Ronald D. Smith from Du Pont Merck Pharmaceutical Co; PD 123319, by Dr Joan Keiser from Parke-Davis. [Sar1,Ile8]Ang II (sarile) was purchased from Hukabel Scientific and iodinated in our laboratory. The protease inhibitors phenylmethylsulfonyl fluoride (PMSF), leupeptin, and pepstatin A were obtained from Sigma Chemical Co; Iodo-Beads, from Pierce; and sodium iodide I-125, from Amersham.

Animals
Male Syrian cardiomyopathic (CHF 146) and inbred control (CHF 148) hamsters (25 to 30, 70 to 75, 125 to 150, 225 to 250, and 325 to 350 days old) and 14- to 16-day-pregnant cardiomyopathic and inbred control hamsters were purchased from the Canadian Hybrid Farms (Halls Harbour, Nova Scotia, Canada). Heterozygous male hamsters were bred by female cardiomyopathicxmale control and female controlxmale cardiomyopathic hamster matings. All procedures for animal experimentation conformed to the guidelines of the Canadian Council for Animal Care and were monitored by an institutional animal care committee.

Iodination of Sarile
Sarile was radioiodinated by a solid-phase method using Iodo-Beads as the oxidizing agent.38 Briefly, 10 nmol of sarile was incubated at 4°C for 20 minutes with 1 mCi of sodium iodide I-125 and two Iodo-Beads in 100 µL of 0.5 mol/L potassium phosphate buffer (pH 7.0). The monoiodinated peptide was purified by high-performance liquid chromatography on a reverse-phase Vydac C18 column. Elution was achieved at a flow rate of 1 mL/min by using a 80-minute linear gradient of 15% to 55% acetonitrile in 0.1% trifluoroacetic acid. Fractions of 1.0 mL were collected and counted for radioactivity. This method yielded typical 125I-sarile specific activities of 1700 to 2100 Ci/mmol.

Cardiac Membrane Preparation
The animals were anesthetized with thiopental (50 mg/kg IP). Adult and embryonic (days 14 to 16 of gestation) hearts were quickly removed and allowed to beat in ice-cold PBS. After they were washed, the left and right ventricles were dissected, weighed, and minced with scissors, and membranes were prepared as previously described by Meloche et al39 with the following modifications: Pooled adult (n=4 to 6) and embryonic (n=20 to 30) hearts were homogenized in 20 mmol/L NaHCO3, 10 mmol/L EDTA, 10-4 mol/L PMSF, 10-6 mol/L leupeptin, and 10-6 mol/L pepstatin A. The resulting high-spin membrane pellet was washed once with 20 mmol/L NaHCO3, 1 mmol/L EDTA, 10-4 mol/L PMSF, 10-6 mol/L leupeptin, and 10-7 mol/L pepstatin A. The membranes were frozen in liquid nitrogen and stored at -80°C until used. Freezing and thawing of the membranes did not result in any loss of receptor binding activity (data not shown). The protein concentration was assayed by the colorimetric method of Lowry et al.40

Receptor Binding Assay
Cardiac ventricular membranes (250 µg) were incubated with 0.2 nmol/L 125I-sarile and varying concentrations of competing agents for 60 minutes at 25°C in a total volume of 250 µL of 50 mmol/L Tris-HCl (pH 7.4), 150 mmol/L NaCl, 0.1 mmol/L EDTA, 1 mmol/L MgCl2, and 0.1% heat-inactivated BSA. Bound 125I-sarile was separated from free ligand by rapid filtration through GF/B filters presoaked with 0.2% BSA, followed by washing with 50 mmol/L Tris-HCl (pH 7.4) and 150 mmol/L NaCl. The radioactivity present in the filters was counted in a Cobra Auto-Gamma (Packard) counter with 74% efficiency. Averages of duplicate determinations of bound 125I-sarile were used for data analysis. Competition binding curves were analyzed by nonlinear least-squares curve fitting using the SCAFIT computer program.41 Equilibrium binding constants are reported as Kd, and receptor concentrations are expressed as femtomoles per milligram of protein. For in utero and heterozygous animals, total binding was measured by incubating ventricular membranes (250 µg) with 0.2 nmol/L 125I-sarile in the absence or presence of the AT1-selective antagonist losartan (10-5 mol/L) or the AT2-selective antagonist PD123319 (3x10-6 mol/L).

Histology
Left ventricular myocardial free walls were fixed in 10% neutral formalin. Four-micron transverse sections were then stained with hematoxylin-phloxin-saffron before examination for necrotic lesions.42 Calcification was examined by using the von Kossa calcium technique.43

Statistics
Data are presented as mean±SEM. Results were evaluated by unpaired Student’s t tests or one-way ANOVA and Bonferroni t tests. The critical level of significance was set at P<=.05.


*    Results
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up arrowAbstract
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*Results
down arrowDiscussion
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The cardiomyopathic hamster is a particularly interesting model of experimental cardiomyopathy for two main reasons: (1) the slow progression of the disease allows the cardiac system to be studied at different steps in the development of the pathology, and (2) the abnormalities at each stage of the disease are reproducible and predictable.44 Animals of 25 to 30 (prenecrotic phase), 70 to 75 (necrotic phase), 125 to 150 (healing stage with hypertrophy and dilatation), 225 to 250, and 325 to 350 days of age (progressing dilatation and terminal heart failure) were used in this study.36 37 45 Compared with the inbred control animals, the cardiomyopathic hamsters presented, at all stages, significantly decreased body weights (Fig 1ADown). This observation is consistent with the findings of Hunter et al37 and Rossner46 and might be explained by the fact that the degree of the progressive loss of the skeletal muscle and adipose tissue exceeded the degree of the generalized fluid retention caused by heart failure.47 As already reported by others,47 48 despite the decrease in body weight, cardiac hypertrophy clearly developed in the cardiomyopathic hamsters, as indicated by the significantly augmented ventricular weight–to–body weight ratios (Fig 1BDown).



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Figure 1. Body weight (A) and the ratio of ventricular weight to body weight (B) for 25- to 30-day-old up to 325- to 350-day-old inbred control and cardiomyopathic hamsters. Results are expressed as the mean±SEM of 12 to 16 animals. Values obtained were compared with an unpaired Student’s t test. *P<.05 when compared with the corresponding control group.

The progression of lesion formation in the cardiac muscle of the CHF 146 strain of cardiomyopathic hamsters has been described by Hunter et al.37 These authors reported that the development of lesions in these specific animals appears to be similar to that seen in other strains, such as BIO 14.6 and UM-X7.1, with the first lesions appearing in the left ventricle at 60 days of age. In the present study, no histological lesions were observed in the inbred control animals at any age or in the cardiomyopathic hamsters at 25 to 30 days of age. However, focal necrotic changes and calcium deposition were already observed in the left ventricular wall of 70- to 75-day-old cardiomyopathic animals (Fig 2Down). These typical lesions were observed with an increasing density over time, and a constant worsening of the disease was noted in aging animals.



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Figure 2. Left ventricular wall of 200- to 225-day-old inbred control and cardiomyopathic hamsters stained with hematoxylin-phloxin-saffron (A and C) and von Kossa calcium technique (B and D). Magnification x250. Panel C illustrates typical focal necrotic changes, and panel D shows the typical deposition of calcium in the heart tissue of cardiomyopathic hamsters.

It is well established that the renin-angiotensin system is activated in human heart failure.49 It has also been demonstrated that the cardiomyopathic hamsters, compared with normal hamsters, display an activated renin-angiotensin system that is characterized by higher plasma and left ventricular Ang II concentrations47 as well as by higher ventricular angiotensin-converting enzyme activity.36 Furthermore, it has been reported that angiotensin-converting enzyme inhibitors, such as quinapril, cilasapril, and captopril, prevent the progression of left ventricular failure and increase the median probability of survival of the cardiomyopathic animals.36 47 50 These data suggest that the cardiomyopathic hamsters have a renin-angiotensin profile similar to that in humans and therefore provide a suitable model for investigating the role of this system in heart failure. To determine whether changes at the level of Ang II receptors might be associated with the development of cardiac hypertrophy, we examined the expression and subtype distribution of Ang II receptors in the ventricles of normal and cardiomyopathic hamsters of 25 to 350 days of age. Fig 3Down shows the characteristics of 125I-sarile binding to cardiac ventricular membranes of 125-day-old hamsters in competition experiments. Computer analysis of binding data indicated that 125I-sarile binds to a homogeneous population of sites in membranes derived from normal and cardiomyopathic animals, with dissociation constants of 0.76 and 0.67 nmol/L, respectively. Competition curves with the selective antagonists losartan and PD 123319 revealed that losartan potently and completely displaced 125I-sarile binding in both groups of animals, whereas no significant binding of PD 123319 was detected. These results demonstrate that in contrast to other species such as rat, rabbit, or monkey, the hamster ventricles express only the AT1 subtype of Ang II receptors. The lack of expression of AT2 receptors was observed in normal and cardiomyopathic hamsters of every adult group (data not shown).



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Figure 3. Representative competition binding curves of Ang II receptor antagonists for the binding of iodinated [Sar1,Ile8]angiotensin II (125I-sarile) to cardiac ventricular membranes prepared from 125- to 150-day-old inbred control (top) and cardiomyopathic hamsters (bottom). Membranes were incubated at 25°C for 60 minutes with 0.2 nmol/L 125I-sarile and varying concentrations of the indicated competing agents. Bound 125I-sarile was determined by rapid filtration on GF/B filters. Data points for each curve were obtained from a single representative experiment with duplicate determinations of each point. Binding data were analyzed by nonlinear least-squares regression analysis. The solid lines represent the computerized fit of the data.

Competition binding studies with losartan were performed to quantitatively evaluate the binding characteristics of the cardiac ventricular AT1 receptor in both groups of hamsters. Interestingly, we found that the density of AT1 receptors was significantly increased in the ventricles of cardiomyopathic animals, with a maximum augmentation of 90% observed at 70 to 75 days of age (Fig 4Down). The expression of the AT1 receptor was observed to increase in every age group studied and was already present in cardiomyopathic hamsters aged 25 to 30 days, when no histological lesions were observed. The affinity of losartan for the AT1 receptor did not vary significantly between normal (Kd, 19.6±0.9 nmol/L; n=15) and cardiomyopathic (Kd, 16.7±0.7 nmol/L; n=15) animals or between the different age groups. Our present results are in agreement with recent reports showing that the establishment of cardiac hypertrophy in spontaneously hypertensive and renovascular hypertensive rats or in rats after coarctation of the abdominal aorta is associated with a significant increase in the expression of AT1 receptors in the ventricles.27 31 In their study, Suzuki et al27 reported that expression of both the AT1A and AT2 receptor subtypes, which is nearly equal in their experimental model, is upregulated during the development of myocardial hypertrophy. However, treatment of renovascular hypertensive animals with an AT1 antagonist completely reversed the index of cardiac hypertrophy to the control level, whereas the AT2 antagonist had no effect. In a related study, Meggs et al32 showed that the density of AT1, but not AT2 receptors is augmented in isolated ventricular myocytes after acute myocardial infarction. Similar findings were reported by Nio et al,33 although these authors demonstrated that myocardial infarction also causes an increase in the gene transcription and protein expression of the AT2 receptor. Taken together, these observations strongly suggest that Ang II acting via the AT1 receptor may play a pivotal role in the reactive hypertrophy of the heart.



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Figure 4. Expression of angiotensin II AT1 receptors in cardiac ventricular membranes of 25- to 30-day-old up to 325- to 350-day-old inbred control and cardiomyopathic hamsters. Membranes were incubated for 60 minutes at 25°C with 0.2 nmol/L iodinated [Sar1,Ile8]angiotensin II (125I-sarile) and varying concentrations of losartan. Binding data were analyzed as described in Fig 3Up. Results are expressed as the mean±SEM of three independent preparations of membranes.

Numerous investigators have reported varying degrees of change in {alpha}- as well as in ß-adrenergic receptors in the hearts of cardiomyopathic hamsters from different strains.51 It has also been demonstrated that the synthesis and secretion of the atrial natriuretic peptide are increased in the ventricles of cardiomyopathic hamsters during moderate to severe heart failure.52 53 However, to the best of our knowledge, the present study is the first to report that the development of cardiac hypertrophy in the cardiomyopathic animals is associated with an upregulation of Ang II receptors and more specifically of the AT1 subtype.

Little is known on the molecular basis about the increased expression of AT1 receptors in experimental models of cardiac hypertrophy. Since the upregulation of ventricular AT1 receptor was observed at a very early stage in cardiomyopathic hamsters, before the apparition of histological lesions, we verified whether the expression of the receptor was already elevated in embryonic hearts. For these experiments, total Ang II binding activity was determined in ventricular membranes prepared from in utero animals (days 14 to 16 of gestation). In contrast to the results obtained in adult hearts, the AT2 receptor subtype was found to represent a significant proportion ({approx}45%) of the total 125I-sarile binding activity (Fig 5Down). However, no differences were observed between control and cardiomyopathic hamsters in the total expression of Ang II receptors and in the proportion of AT1 and AT2 subtypes (Fig 5Down). To determine whether AT1 receptor density might be genetically regulated, we next examined the expression of the receptor in cardiac ventricular membranes from heterozygous (cardiomyopathicxcontrol) hamster strains. As shown in Fig 6Down, the AT1 receptor binding activity in the ventricles of heterozygous animals was found to be midway between that of control and cardiomyopathic animals. These findings strongly suggest that the abnormal expression of the AT1 receptor in the heart of cardiomyopathic hamsters is directly regulated at the genetic level. Additional genetic studies will be required to establish whether the AT1 receptor gene itself is abnormal in these animals.



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Figure 5. Angiotensin II receptor binding activity in cardiac ventricular membranes of embryonic (days 14 to 16 of gestation) inbred control and cardiomyopathic hamsters. Membranes were incubated with iodinated [Sar1,Ile8]angiotensin II (125I-sarile) in the absence or presence of AT1-selective antagonist losartan (10-5 mol/L) or AT2-selective antagonist PD 123319 (3x10-6 mol/L). Results are expressed as the mean±SEM of two independent preparations of membranes.



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Figure 6. AT1 receptor binding activity in cardiac ventricular membranes of heterozygous (cardiomyopathicxcontrol) hamsters. Membranes were incubated with iodinated [Sar1,Ile8]angiotensin II (125I-sarile) in the absence or presence of 10-5 mol/L losartan. Results are expressed as the mean±SEM of four independent preparations of membranes. *P<=.05.


*    Discussion
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
The exact mechanisms implicated in the pathogenesis of the cardiomyopathy in the hamster model are not well understood. Nevertheless, considerable evidence points to a critical role for circulating and for cardiac Ang II in this process. First, Ang II induces hypertrophy of cardiac myocytes and hyperplasia of cardiac fibroblasts in vitro.14 15 16 54 Second, plasma and cardiac Ang II levels are significantly higher in cardiomyopathic than in control hamsters.47 55 Third, the AT1 receptor is upregulated in the ventricles of cardiomyopathic animals (the present study). Fourth, chronic administration of angiotensin-converting enzyme inhibitors has a beneficial effect on parameters such as cardiac structure, heart performance, and survival rate in cardiomyopathic animals.36 44 47 56 57 58 59 Finally, perhaps the most convincing evidence is the demonstration that chronic administration of the Ang II AT1 receptor antagonist TCV-116 significantly improves cardiac contractility in cardiomyopathic hamsters.55

In summary, we have demonstrated that the Ang II AT1 receptor is upregulated in the ventricles of cardiomyopathic hamsters. Since the increased expression of AT1 receptors was already present at a stage when no histological lesions were detected and since heterozygous animals express intermediate density, our results suggest that Ang II acting via the AT1 receptor may play a role in the genesis and/or the maintenance of the cardiac hypertrophy in the hamster.


*    Acknowledgments
 
This study was supported by grants to Drs Lambert (MA-11527) and Meloche (MT-12150) from the Medical Research Council of Canada. Dr Lambert holds a scholarship from the Heart and Stroke Foundation of Canada; Y. Massillon, a studentship from the Medical Research Council of Canada; and Dr Meloche, a scholarship from the Medical Research Council of Canada. The authors wish to thank Marie-France Legault for her excellent technical assistance and Elisabeth Pérès for the artwork. We are also grateful to Dr André DeLéan and Normand McNicoll for giving us access to their iodination and computer facilities.

Received April 6, 1995; accepted July 5, 1995.


*    References
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 
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